Unit 4 - Melancholy and Depression

Question 1

What are the symptoms persistent mood disturbance?

Answer 1

• longer than 2 weeks
  Affective symptoms:
• depressed, sad, or irritable mood
• loss of pleasure in usual activities
• feelings of worthlessness or guilt

Question 2

What is functional impairment? (2)

Answer 2

• decline in individual’s performance to perform functions they could do when not depressed
• ADLs , IADLs, and executive function

Question 3

What is disturbed vegetative function? (5)

Answer 3

Somatic symptoms
- fatigue
- decreased energy
- increased or decreased appetite, weight. disturbances, and psychomotor agitation
- severity mid to more severe

Question 4

What 2 factors are associated with more severe depression?

Answer 4

• suicidal ideation
• psychotic features

Question 5

For assessment, how do we conduct a history and physical exam? (2)

Answer 5

• identify risk factors
• sort out what the actual problems would be

Question 6

For assessment, what does the Mental Status Exam (MSE) assess? (7)

Answer 6

• appearance
• speech (disorganized, slow)
• emotion (mood and affect) see screening tools
• perception
• thought
• insight and judgment
• Cognition (see screening tools)

Question 7

For assessment, how do we conduct a functional assessment?

Answer 7

• changes in ADL, IADL, and executive function
• not diagnostic!

Question 8

For assessment, which medications may have depressive adverse effects?

Answer 8

mentioned in previous cards

Question 9

For assessment. what does the suicide risk assessment check for?

Answer 9

• identity signs that indicate possible suicidal thoughts or plans

Question 10

Mental health status assessment includes collecting and analyzing cues. Through which scales/observations can we do this? (4)

Answer 10

• geriatric depression scale (GDS)
• Cornell scale for depression in dementia
• assessment of recent changes in functional status
• careful observation of affect

Question 11

What does the Geriatric depression scale assess? (3)

Answer 11

• assess mood and screens for depression
• screens but does not diagnose
• cannot use for dementia

Question 12

Depression and the older adult with dementia can result in responsive behaviours. What are responsive behaviours? (2)

Answer 12

• a person-centred term recognizing how behaviours uncomfortable for us indicate an unmet need in the older adult
• some behaviours called responsive behaviours are resistant to engage in ADLs and wandering

Question 13

What is the cornell scale for depression in dementia assessing? (7)

Answer 13

• signs and symptoms of major depression in people with dementia
• info from caregiver and direct observation of:
• mood-related signs
• behavioural disturbance
• physical signs
• cyclic function
• ideational disturbances

Question 14

What are the suicide warning signs? (9)

Answer 14

• history of depression
• trouble sleeping
• feelings of hopelessness, helplessness, anxiousness or worthlessness
• Loss of interest in things they once cared about
• no reason for living or lost sense of purpose in life
• switching suddenly from deep sadness to calmness or happiness
• feeling of being trapped
• overwhelming feelings or inability to cope
• experienced trauma or past suicide attempt

Question 15

SLO for this**

Answer 15